The vendor is required to provide to perform brokerage and consulting services for our group employee benefits programs, including medical, dental, vision, life, short term disability, ltd, employee assistance program, act, voluntary benefit plans, legal, HR support, etc.
- Serve as a designated insurance broker of record for benefit programs.
- Solicit and analyze insurance proposals and present the results of such analysis to the appropriate parties.
- Negotiate all insurance renewals, including meeting directly with insurance company underwriters and place insurance as directed.
- Analyze claim experience/financial development for all insurance coverages.
- Prepare annual reports, in any reasonable format requested by county, for each line of coverage, analyzing financial developments, network utilization, insurer cost structures, etc., and make recommendations regarding changes, modifications and/or benefit enhancements.
- Plan and attend quarterly meetings, take and distribute meeting notes, prepare financial reports, interpret and distribute carrier reports, coordinate presenters and attendees, follow-up with carriers, attendees and action items, and serve as the county's benefit resource.
- In accordance with parameters and criteria established by county, make recommendations regarding various benefit and insurance plans, insurance carriers, health maintenance organizations, administrators and benefit service providers.
- Review all insurance, benefit and administrative service documents for accuracy and adherence to prior agreements.
- Provide in all benefit carrier negotiations, with inclusion of an integration to the HRIS platform workday.
- Provide open enrollment support, including, but not limited to, developing timelines, assisting with the development of open enrollment materials and the determination and coordination of the benefits fair attendees, and coordinating and participating in open enrollment meetings as reasonably requested.
- Assist with budget projections on future costs of benefit programs.
- Review contracts with providers for accuracy in rates, benefits, eligibility, and coverage definitions.
- Review evidences of coverage (EOC) for accuracy, make recommendations regarding changes, modifications and/or benefit enhancements, and negotiate changes with carriers.
- Assist with claims and billing issues as requested.
- Assist with the implementation/transition of carriers/administrators.
- Attend administrative meetings as requested.
- Provide concise, timely and effective special executive summary reports, as needed.
- Provide plan summary documents and distribute to all employees prior to the start of the plan year.
- Perform detailed analytical review of third-party administration, prescription drug and utilization.
- Inform state county staff of major national or regional health care trends.
- Provide seminars and educational sessions to employees and retirees, including monthly orientation.
- Have knowledge of board regulations as they relate to state county's employee benefit plans.
- Provide and prepare an annual benefit guide for state county employees.
- Provide printed booklets as well as electronic copies.
- Contract Period/Term: 3 years
- Questions/Inquires Deadline: April 15, 2025